IndividualActive
Jeanne Black
NPI 1194041053 · Primary Care Nurse Practitioner · Williamsburg, VA
Provider details
- NPI number
- 1194041053
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0017000296 (VA)
Practice location
7151 Richmond Rd
Suite 401
Williamsburg, VA 23188-7234
Phone: (757) 565-1700
Fax: (757) 565-6068
Mailing address
Po Box 801
Toano, VA 23168-0801
Registry dates
- Enumerated
- 2010-04-15
- Last updated
- 2010-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.